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Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. pnis enlargement supplement penis enargement surgery photo penis enlargment surgeon vimax penile enlargement without pills prosolution penis enlagement pills surgical penis enlargment enlargement manhattan penile

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So you are standing there, ready to go, in fact busting to go - but nothing. You get to whistle all 8 verses, including the chorus of Greensleeves before anything happens. Finally something starts to happen but you feel like a street busker, all theatrics but not much action, and unfortunately you have an interval in your performance. If you thought it couldn’t get worse, wrong. Your kids have all grown up and left home, but you still have to get up 3 times a night, but not to check the kids! You just get back to sleep, and oh no, not again. As a man ages, the prostate gland may gradually enlarge and cause urinary difficulties, a condition that is called benign prostatic hypertrophy (BPH). By age 50, up to 50 percent of all men have this condition. About the size of a walnut, the prostate gland is located below the bladder and surrounds the upper part of the urethra (the tube that carries urine and semen out of the penis). When the prostate gland becomes enlarged, it restricts the normal flow out of the urethra. Some of the signs of an enlarged prostate include: - Difficulty starting the urine stream. - The urine stream is just a trickle. - The urine stream stops and starts again. - A need to urinate frequently, especially at night. - A feeling that the bladder is not completely empty. Prostate cancer, which is totally unrelated to BPH, is a much more serious health problem than BPH. If you have any of the symptoms, then you should visit your doctor to determine what might be the cause of the problem. If it is prostate cancer, you greatly improve your chances of recovery with early detection of the disease. Some of the most common treatments for BPH include:  Do nothing. If the problem is only an inconvenience, and is not affecting your health, doctors often will not prescribe anything for an enlarged prostate. You and your doctor may just monitor the prostate with regular checkups. Something that has proved very beneficial has been herbal treatments, and there are some very good natural products on the market that assist in reducing the size of the prostate.  Drug therapy. Men who have moderate symptoms may be given a drug that shrinks the prostate by blocking the production of testosterone. Testosterone is the drug which stimulates prostate growth.  Surgery. The most common surgical treatment for BPH is a transurethral resection (TURP), in which excess prostate tissue that is restricting the flow of urine is removed with a tiny instrument inserted through the penis. (Brings a tear to every man’s eye thinking about this). This generally requires a hospital stay of 2 – 3 days. This procedure has a very high success rate, with approximately 85 percent of men being cured. So if what was once equal to the flow of the Niagara River is now reduced to the trickle of a summer stream – help is available. real penis elargement plastic surgery penile enlargment vig rx for men free penis elargement vimax penis enlargement surgeon herbal natural penile enlargement vimax pills inch vimax penis enlargement review vigrx enhancement

Hypertension is the term doctors use for high blood pressure. It’s often referred to as a Silent Killer since many people may have no noticeable symptoms. Over 50 million people suffer from high blood pressure, but nearly one third aren’t even aware of it. Hypertension is a major risk factor for heart disease, the nations’ number one killer. Those who do experience the symptoms of high blood pressure feel dizzy, headaches and sometimes nosebleeds. Unfortunately, by the time symptoms are felt, blood pressure is dangerously high. But many people with uncontrolled high blood pressure never have any of these symptoms. Blood pressure is the force of the blood through your arteries as your heart pumps blood through your circulatory system. Blood pressure is reported as a fraction, with one number over the other. The top number, called the systolic pressure, is the force when your heart contracts, the bottom number, called the diastolic pressure, is the pressure when you hear relaxes between beats. To measure your blood pressure, an inflatable cuff is wrapped around your arm, and air is pumped in. The doctor or nurse, while watching the pressure gauge, listens with a stethoscope for your pulse to disappear. The pressure at which your pulse can no longer be heard corresponds to the systolic pressure. The cuff is released and the pressure at which your pulse can be heard again is the diastolic pressure. Like the pressure in your car tires, pressure is measure in millimeters of mercury or mmHg. Typically, healthy people have a blood pressure at or below 120/80mmHg. Your risk of heart or CV disease has recently been found to begin increase at a much lower level, blood pressure of 115/75. Blood pressure above 120/80 is considered by the National Heart, Lung, and Blood Institute (NHLBI) to be pre-hypertenson. A BP of 140/90 mmHg is considered too high, and represents a significantly increased risk of heart disease. Unfortunately, high blood pressure is more common in certain racial and ethnic minority groups, including blacks, Hispanics, and American Indians/Alaska Natives. Factors controlling your Blood Pressure High blood pressure can result from several factors. The heart itself can impact blood pressure. The heart muscles itself can enlarge, causing higher pressure of blood exiting the heart. Cardiomyopathy or enlargement of the heart muscle also increases blood pressure. Excess weight makes your heart work harder to pump blood through the body. Extra fluid in your circulatory system as a result of lots of salt intake, kidney problems or other medical conditions also puts a higher demand on the heart. Increased blood volume also causes more constriction within the blood vessels, translating into higher blood pressure. The blood vessels play an important role in your blood pressure. Usually, the arteries are elastic and can expand and contract in rhythm with the hearts pumping action. High cholesterol and the plaques that form cause the arteries to lose their elasticity. Each time the heart pumps, the vessel can no longer stretch, and a higher pressure is created. Just think about what happens if you step on a garden hose. Smoking cigarettes constricts, or tightens your blood vessels, pushing the blood pressure even higher. Some medications you take such as steroids, non-steroidal anti-inflammatory drugs (NSAIDs), nasal decongestants and other cold remedies, diet pills, cyclosporine, erythropoetin, tricyclic antidepressants and a type of anti-depressant called monoamine oxidase inhibitors can also contribute to increased BP. Oral contraceptive, which are hormones, can raise blood pressure and should be used cautiously and carefully monitored in patients with HTN. Treatment for Hypertension If you are diagnosed with high blood pressure, your doctor will most likely order additional test to determine the cause of your elevated blood pressure. He or she will also recommend more frequent visits to monitor you. For moderate hypertension, lifestyle changes may be enough to normalize blood pressure. One of the first things you can do is change your diet to avoid sodium or salt, and lower your fat intake. The National Institutes of Health's DASH diet (Dietary Approaches to Stop Hypertension) is rich in fruits, vegetables, and low-fat dairy foods, and low in total and saturated fat. The DASH diet also reduces red meat, sweets, and sugary drinks, and it's rich in potassium, calcium, magnesium, fiber, and protein. Increasing physical activity can help to lower your blood pressure. By doing at least 30 minutes of exercise a day, your risk of complications can be reduced. If you are overweight, starting a weigh loss plan can also help bring your blood pressure into the normal range. If dietary and lifestyle changes alone don't normalize your blood pressure, the next step is medication. If your doctor recommend medication, it is vital that you take it exactly as directed. Because most people don’t notice any symptoms of hypertension, even if you are feeling well, it is crucial to stick to your medication regimen. Never stop taking medication without discussing it with your healthcare team, even if you feel fine. natural pnis enlargement pills male penis enlarement penis enlagement pump prosolution penile enlargement pills pennis enlargement pic before and after truth about penis enlargment pills real penis enhancement pennis enlargement result vigrx enhancement

INSPIRATION AND PERSPIRATION! Ever thought of putting together a pinup calendar featuring hot guys enrolled at your college or university? Most people who think of creating a "Men of (Your) University" calendar assume that all they need to do is locate only 12 hunky college males and have them photographed. These tasks must be accomplished. But there's much more to publishing a calendar and many more than 12 college guys must be recruited. Besides recruiting, selecting, and training your student male models, there is production of the actual calendar, which includes photography, arranging graphic design and commercial printing. After the calendars are delivered, news media publicity must be arranged. Promotional events must be held. And, of course, your pinup calendar must be marketed! But, first, the best-looking campus guys at your university or college must be recruited. After a decade of publishing, recruiting of college men, the Campus Men Calendar operation has learned a great deal and refined its approach. So, here are the facts: GUYS WANT TO DO IT! There is a high demand to appear in pinup calendars of college men. Publishers should be able to choose from many college guys. Therefore, do not cater to, or try to convince any one college student to appear. Either they want to appear in your calendar or they do not! Students who need special handling often drag their feet and cause delays. Delays cost in potential sales. Therefore, students who expect you to cater to them, cost you sales. BEWARE OF GIRLFRIENDS! Beware of any college guy who involves his girlfriend into your operation. Why? Because girlfriends do not truly want their boyfriends to "model." Yes, they want their boyfriend to be "good looking" and for his looks to be "model quality," but they really do not want them going on photo shoots, meeting female models and certainly do not want the competition that is generated from having their boyfriend's body being advertised to other females by appearing in a calendar. When it comes time to choose the best calendar photograph, girlfriends can spell T-R-O-U-B-L-E. A revealing photograph may be threatening to a girlfriend. When it comes to their bodies, guys want to "show it off." Girlfriends want their men under wraps. If you hold a promotional event after the calendar is released, any controlling girlfriend will either want to attend the event or will encourage your model not to attend. Remember, you cannot replace a model once the calendar is printed. You will only be able to select from the batch of 12 who appear in the calendar. That means if five guys are unreliable, you only have seven to choose from. How many of those seven will be working at their job during your event? If you convince a bar owner to hold an event, but only have one model show up, you might be in big trouble and possibly owe the bar owner for their advertising costs. If no models show up at a retail store that carries your calendar, you just might loose that store as an outlet! In summary, chose independent-minded males. SEX STILL SELLS? The theme of the calendar drives which students should be recruited and selected. At Campus Men, we chose a theme that was developed after years of trial and error. Our theme was to present young, all-American college guys in sensual poses. Your photos should answer the question of: I wonder what that incredible-looking guy I saw on campus would look like in bed? If a publisher wants to sell calendars, it is foolish to feature college men wearing sweaters. Publish photographs of guys wearing suits, fully clothed or face shots only - and you will not be returning to the market with a calendar the second year. If you want to sell calendars, appeal to the sexual motivations of the viewer, whether through a cute smile, great face or body or skimpy clothing. Attempt to give the viewer a fantasy of what it is like to be intimate with the college student. You do not have to depict models fully nude with penis showing. Snug-fitting boxer briefs (or less) are just as exciting. Many guys will readily show their bare buttocks. By choosing students who are exhibitionists versus guys who are conservative, you give yourself valuable creative freedom when it comes time to photograph these college male models. Choose a male student who obsesses about which poses he will not pose for, versus choosing a young guy who is grateful for the opportunity you are offering, and you will undoubtedly find the production process more difficult. Remember, there are thousands of students enrolled at your university. Why choose the ones who do not care about your profitability? You will find that buyers will remark on the one or two provocative photos that appear in your finished calendar. "Skin" photos draw more e-mails and sell more copies. Campus Men learned this by accident. Gus Dakis posed for what our male model photographer calls a "miracle photograph" because the photo shoot was hastily put together due to bad weather. Gus and our photographer sped off to the photo shoot location and set up equipment as the rain still dripped from gutters around the pool house. Yet, once set up, there was still no sun, which was needed for the photograph. Gus stood in exact position under the showerhead and our photographer stood by with his camera, continuously measuring light readings. Just as they decided to wrap it up and go home without taking any photos, the sun fell below the clouds, engulfing the pool area in a beautiful, brilliant deep gold color. A half roll of film was snapped off before the sun fell beyond the horizon. Surprisingly, Gus' photograph, which was created in two and one-half minutes, became the most popular image in Campus Men that year and was responsible for many sales. Why? Because the photo depicted Gus in a pair of wet, white shorts that inadvertently became translucent because of the hectic pace of that day's photo shot. GO FOR A CAMPUS FEEL Design photographs with a collegiate or athletic feel to them, rather than "beach" themed photos. If people want to buy a beach theme calendar, they will buy the "Chippendales" calendar. Even the Chippendales calendar has changed to more "bedroom themes." Remember, buyers want YOUR calendar because it offers college guys. While college guys are seen on beaches only during Spring Break, one will usually find college guys on the school's quad, in a fraternity house, or playing sports. So, photograph your college men where buyers expect to see college guys. Plan imagery that brings college life to mind or portrays the college student as a sexy athlete. Remember, the successful theme of a calendars should be: "Here's what that athletic guy you passed on the quad looks like in bed." RECRUIT EXTENSIVELY Far more than 12 students must be recruited. Calendar production processes call for locating as many attractive males on your campus as possible. It is not usual to evaluate at least 125 college guys and as many as 500 during the entire process. If you want to organize a calendar, your goal should be to meet hundreds of hot college guys. A large number must be secured because the most important issue - other than quality of photographs - is timing of delivery. Delivering early in the sales season is very important. Calendars must be produced for delivery on June 1 of each year. This allows a seven-month selling season and allows featured college guys to talk up and sell calendars during the summer (when they have ample time to sell because they are not enrolled in classes; are usually home among family and friends). It also allows sales through national magazines, and allows the producers to reach incoming freshmen college guys visiting the campus during orientation sessions, held during June through August. This means the calendar also will be on store shelves in time for students who arrive back for the beginning of fall quarter and are seeking to decorate dorm or sorority room walls. Winter term is a poor time to recruit college guys because completing any activity takes more time due to cold weather. We cannot easily see what college guys look like because they cover themselves with clothing when outdoors. College guys generally stay indoors, become sedentary, gain weight, and do not have tans. If only 12 college guys are recruited, the operation can be delayed if even one student drops out or is dismissed. Recruit a large number of college guys because appearing in a calendar is not for everyone. We found that we had to screen all guys to select only those who are willing to pose nude or nearly nude. Why? Because college-oriented calendars are not the thing for timid or conservative young men. We have published many pinup calendars with varying degrees of provocativeness. Tame pinup calendars are nice. But, few buyers actually part with $15 to buy a boring male calendar. More risqué calendars have always been more popular in sales. WHAT TO LOOK FOR Here's what to look for in a college-guy model for a pinup calendar: • Outgoing, can sell calendars. Guys who like to talk to everyone and anyone • Muscular or defined body • Confident guys. Young men with self-esteem problems make problems for you. • Comfortable posing nude, uninhibited, the kind of guy who would skinny-dip for fun or go streaking at the drop of a hat Advertising did not bring in the "right" type of college guys. Many young men who are perfect for your calendar would never think of submitting their names to you. They must be invited. That is where student recruiters are valuable. Advertise for a team of students whose sole duty is to stop college guys on an informal basis. Advertising to locate recruiters can include classified ads, as well as fliers to sororities, career placement offices and dorms. Aim for at least three "hard core" recruiters, a Greek system recruiter and a minority representative. Recruiters need not be female. Guys can recruit and sometimes find it easier to approach other guys in gyms, classes and on the quad. Girls sometimes thinks asking a guy to pose is like asking him for a date. NUMBERS GAME About 60 percent of the college guys recruiters find will be acceptable. Of those students, 75 percent will accept an offer to appear. Therefore, to secure 22 acceptable college men, recruiters should locate 50 guys per calendar. Compensation to recruiters is a finder's fee paid for each "found" student who appears in the published calendar. Fees are payable only if the recruited student appears in the calendar. Do not pay a finder's fee if you do not select the college student to appear, if the college student declines your offer to appear, drops out before publication, or is dismissed for any reason. After a college guy applies to appear in a calendar (through a website), collect a bio or tape an interview with the individual. 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Today the term erectile dysfunction most accurately means a man is unable to get a penile erection to perform sex or can’t maintain a prolonged erection to finish having sex. This erectile dysfunction also describes the dissatisfaction with the hardness or angle of erection including partial erection, brief erection and also loss of libido. This erectile dysfunction is not only big news now but also becoming a booming business. Many pharmaceutical companies are jumping into the bandwagon to devote extensive resource to drug research and development. One such company which emerged as one of the largest outfit in dealing with erectile dysfunction is GlaxoSmithKline, Public Limited Company (GSK Plc). It is this company which launched a new treatment to improve male penile erection under the name of Levitra. Of late Levitra is proving to be a better option for treating erectile dysfunction than most of its counterparts. Its post effects are really a miracle. Approved by FDA as oral treatment for erectile dysfunction in men, it is available in 2.5mg, 5mg, 10mg, and 20mg. Its main constituent Vardenafil HCl is found to stimulate the penis by increasing the flow of blood into it. This helps men to keep a hard and prolonged erection needed to finish a sexual act comfortably. Once a sexual activity is completed, the erection decreases naturally. Some good facts about Levitra are that GSK has clinically showed that it improve erectile function even in men who are suffering from other health factors like diabetes, high blood pressure, or high cholesterol. Men using it for the first time found it to be very reliable with an increased rate of perfect and more improved penile erection. Its effects are natural and a single dose a day is enough to give an erection when a man wants to have sex. But GSK refers it as a drug and hence suggest discussing one’s medical condition with a sexologist. This will help to skip its side affects safely and one will know the right amount of dose that should be taken. However, clinical studies found it to be overall a safe and mild drug.